Registered Nurse - CCU - Day/Eve/Night

24-bed unit specializing in the care of critical patients with 24-hour intensivist, pulmonary, and APP coverage.

About the role

• Individualized, comprehensive 16-week orientation program including Essentials of Critical Care Orientation (ECCO), ACLS certification, and NIHSS certification for new nurses
• Mentorship program after orientation to support new nurses
• Residency program for new graduates
• Opportunity for committee participation and a voice in your nursing practice
• Professional growth through a Clinical Ladder
• Leadership presence on every shift
• Strong foundation for advanced practice degree
• Certification for Critical Care RN (CCRN) after 2 years’ experience

Schedule

• PRN – minimum of 24 hours off shift per 6-week schedule
• 12-hour shifts (day, evening, night)
• Weekend and holiday shifts as needed
• Shift and weekend differential eligibility

Responsibilities

• Implement, direct, and coordinate patient care using the nursing process: assessment, planning, implementation, and evaluation
• Recognize and treat physical and psychosocial changes unique to the age/population group served
• Demonstrate safe medication practice
• Maintain a professional image reflecting the employee’s role in healthcare
• Complete chart checks to ensure no missed orders and accurately transcribe physician’s orders
• Demonstrate therapeutic communication skills and assess patient education needs
• Attend at least 50% of staff/committee meetings and in-services
• Demonstrate leadership through the nursing process and supervision while maintaining accountability for treatment and patient outcomes
• Act as a resource person regarding patient care, specialty area, orientation, and teaching of staff
• Analyze assessment data, identify priority problems, and document on Plan of Care in PCS for patients, families, and significant others
• Use effective problem-solving skills to plan patient care and respond to changes in patient condition
• Complete and document discharge assessment against plan of care goals
• Initiate and maintain Intravenous Therapy according to IV standards
• Respond appropriately to emergency situations
• Utilize proper body mechanics to prevent injury to self and others
• Safely position, transfer, and transport patients
• Function as a virtual nurse as assigned (admissions, discharges, education, documentation, collaboration with bedside staff)
• Utilize appropriate nursing assessment as established by department standards of patient care
• Set up equipment and assist with insertion of Swan-Ganz catheter, arterial line, and/or multilumen
• Care for patients with Swan-Ganz catheters, including cardiac outputs
• Assist with temporary pacemaker insertion and demonstrate proper application of external pacemaker
• Defibrillate patients and assist with cardioversion procedures
• Demonstrate proper administration of thrombolytic agents and care for patients receiving them
• Draw blood from multilumen, Swan-Ganz, or arterial lines
• Discontinue Swan-Ganz, multilumen, temporary pacemaker, or arterial lines
• Care for patients on mechanical ventilation and assist with intubation
• Assess and evaluate patient response during post-surgical recovery for surgical critical care patients
• Describe role and responsibility in assessing and reporting physical, emotional, sexual abuse, and neglect
• Demonstrate proper technique for IABP therapy
• Complete cardiac rehab exercises
• Achieve credentialing in conscious sedation by >84% score on exam annually and demonstrate appropriate clinical performance
• Complete a 12-lead EKG
• Demonstrate proper initiation of vasopressor agents
• Interpret ECG patterns
• Care for patients with Impella catheter assist devices
• Care for post-tracheostomy and peritoneal dialysis patients
• Collaborate with other departments and disciplines to meet patient needs
• Complete mandatory education and in-services by due date
• Complete annual health screening
• Assist with insertion of chest tubes, including set-up and post-insertion care
• Demonstrate proficiency in applying vacuum-assisted closure (VAC) dressings

Requirements

• Graduate of an accredited School of Nursing required; Bachelor of Science in Nursing preferred
• Evidence of participation in educational programs to update and maintain current knowledge and clinical skills
• Experience applying customer service behaviors and communication skills required
• Previous nursing experience in specialty area preferred
• For Critical Care Unit: at least two years of acute care nursing experience (Tele-Observation, IMCU, CCU, Cath Lab, ED)

Certifications/Licensure

• Eligible for or currently licensed as a Registered Professional Nurse in Pennsylvania
• Certification in specialty preferred
• CPR certification required
• ACLS required (or achieved within specified timeframe for certain units)
• PALS required for Emergency, PACU, and Pediatric trained staff within one year from start date
• NRP required for Level II NICU
• Proficiency in cardiac monitor interpretation required for multiple units
• Federal Bureau of Investigation (FBI) clearance and fingerprinting required
• Child Abuse Recognition and Reporting Training in accordance with Act 31 of 2014 required